Sunrise at Orchard

“Based on record review and interview, the residence failed to have at least one staff member onsite at all times who has current certification in cardiopulmonary resuscitation (CPR) and obstructed airway techniques from a nationally recognized organization such as the American Red Cross, the American Heart Association, the National Safety Council or the American Safety and Health Institute, affecting 61 current residents.Findings include:1. ReferenceAccording to the National CPR Foundation, "(National CPR Foundation) NCPRF provides self-training through the materials found on the Website(s) you're your own (teacher). Our services are designed with OSHA (Occupational Safety and Health Administration), the ECC (Emergency Cardiovascular Care)/ILCOR (The International Liaison Committee on Resuscitation), and The American Heart Association's guidelines in recommendation. At no time does NCPRF represent any person in their certification needs - it is up to our client to choose freely in His/Her own direction. The certificate does not represent, warrant or guarantee that the purchaser is properly prepared or equipped to perform any course materials, CPR or First Aid assistance." National CPR Foundation (2022) Terms and Conditions, retrieved from: https://www.nationalcprfoundation.com/terms-conditions/According to the American Red Cross: "Obstructed Airway Care for Adults ... If the patient is able to speak to you or is coughing forcefully: Encourage the patient to keep coughing but be prepared to clear the airway if the patient's condition changes ... Obtain consent ... Perform abdominal thrusts ... Perform alternate techniques-back blows, chest thrusts, or airway management ... Continue to clear the airway ... If the patient becomes unresponsive, carefully lower them to a firm, flat surface, while protecting their head. Immediately begin CPR, starting with chest compressions. After each set of compressions and before ventilation, open the patient's mouth and look for the object-if seen, remove it using a finger sweep." American Red Cross (2019) Skill Sheet: Obstructed Airway Care for Adults and Children, retrieved from: https://www.redcrosslearning.com/course-bin/bls-healthcare-resuscitation/app/content/a/en-US/resources/SS-Obstructed-Airway-Care-for-Adults-and-Children.pdf2. Record ReviewThe personnel file for Staff #5 read that the staff was hired on 4/6/21. The file contained a CPR certification for Staff #5; however, the certification was not from a nationally recognized organization and contained no hands-on skill demonstration. The residence's November and December 2023 schedule read in part that Staff #5 worked without another CPR certified staff three times from 9:45 p.m. to 6:15 a.m. on the following dates:11/27 12/0512/113. InterviewOn 12/7/23 at 3:45 p.m., the administrator stated all staff should have CPR training, including the hands-on skills demonstration, within 30 days of their start date. She acknowledged that Staff #5 had not completed the CPR certification hands-on skills demonstration portion.”

“Based on observation and interview, the residence failed to prohibit the use of portable heaters in the residents ' rooms, affecting four of six sample residents (#8, #9, #10, #11) who experienced heating concerns in their rooms.Findings Include:1. ObservationsOn 12/8/23 at 12:31 p.m., two portable heaters were present in the room of Resident #11, one heater was turned on.On 12/8/23 at 12:59 p.m., a portable heater was in the room of Resident #9.On 12/8/23 at 1:19 p.m., a portable heater was in the room of Resident #10 and was turned on. The thermostat in the room measured 74 degrees fahrenheit.On 12/8/23 at 1:25 p.m., a portable heater was in the room of Resident #8 and was turned on.2. InterviewsOn 12/8/23 at 12:15 p.m., the maintenance coordinator stated the individual room control board broke in six rooms on 11/25/23, and he placed portable heaters in the rooms to keep residents warm until the new part to repair the control board arrived.On 12/8/23 at 1:05 p.m., Resident #8 stated the heat in his room had not been working, and the residence provided him with a portable heater. He said "If I have my blankets on I can stay warm with the portable heater"On 12/8/23 at 1:19 p.m., Resident #10 stated the heat in her room had not been working, and the residence provided her with a portable heater. She said the temperature has gone up one degree since she checked in the morning.On 12/8/23 at 1:25 p.m., Resident #11 stated the heat in his room had not been working, and the residence provided him with a portable heater. On 12/8/23 at 3:49 p.m., the administrator said, "I don't think I have ever read that using portable heaters is unsafe for non-continuous time. If it is really cold because the main heater is not working, you want to make sure the resident is warm."”

“Based on observation, record review, and interview, the residence failed to ensure a name-based criminal history report was requested prior to hire and conducted by the Colorado Bureau of Investigation (CBI) for four of four sample staff (#1-#4), affecting 61 current residents.Findings include:1. Residence PolicyThe residence's Background Check policy, dated 5/31/19, read that the residence conducted multi-county and federal criminal history; however, the policy contained no reference to state-level name-based checks conducted by the CBI.2. ObservationOn 12/7/23 from approximately 7:20 a.m. to 7:35 a.m., Staff #1 worked as a qualified medication administration person (QMAP) at the residence. 3. Record ReviewThe personnel record for Staff #1 read the staff was hired on 6/26/23. The residence's name-based background check for Staff #1, dated 6/12/23, the record contained a criminal history report; however, the CBI did not conduct the criminal history report.The residence's November and December 2023 schedule read in part that Staff #1 worked at the residence 22 times on the following dates:11/1 and 11/211/5-11/911/12-11/1611/26-11/3012/3-12/7The personnel record for Staff #2 read the staff was hired on 8/14/23. The residence's name-based background check for Staff #2, dated 8/7/23, contained a criminal history report; however, the CBI did not conduct the criminal history report.The residence's November and December 2023 schedule read in part that Staff #2 worked at the residence 19 times on the following dates:11/3-11/611/9-11/1411/1611/2411/2611/2711/3012/1-12/4The personnel record for Staff #4 read the staff was hired on 8/21/23. The residence's name-based background check for Staff #4, dated 8/15/23, contained a criminal history report; however, the CBI did not conduct the criminal history report.The residence's November and December 2023 schedule read in part that Staff #4 worked at the residence 11 times on the following dates:11/811/1011/1111/1311/1411/2611/2811/2912/3-12/5The personnel record for Staff #3 read the staff was hired on 10/16/23. The residence's name-based background check for Staff #3, dated 10/5/23, contained a criminal history report; however, the CBI did not conduct the criminal history report.The residence's November and December 2023 schedule read in part that Staff #3 worked at the residence eight times on the following dates: 11/2411/2711/2812/1-12/54. InterviewsOn 12/7/23 at 12:21 p.m., the business office coordinator stated that the residence name-based criminal history report check included multi-county, federal, sex offender registry, and abuse registry; however, the check had not included a check conducted by the CBI. On 12/7/23 at 3:45 p.m., the administrator stated that name-based criminal background checks were required for all staff prior to working with residents. She added that she was unaware that the residence had not conducted the checks with the CBI and had assumed that the checks conducted by the residence's home office had included checks conducted using the CBI.”